INTRODUCTION AND HYPOTHESIS: this study aims to evaluate the functional outcome of transobturator tape (TOT) in treatment of female stress urinary incontinence (SUI) and its impact on patient quality of life (QoL). METHODS: sixty female patients with SUI underwent TOT operation, outside-in technique. Forty-eight patients completed the study. Clinical evaluation, urodynamics, and QoL using validated Arabic translation of the International Consultation on Incontinence Questionnaire-Short Form were done both preoperatively and 3, 6, and 12 months postoperatively. RESULTS: the mean follow-up was 16 months. The objective cure rate was 95.83%. There were no cases of urethral injury, bladder perforation, or thigh pain. De novo urgency and urge incontinence was observed in four patients (8.3%). No early or late outflow obstructive symptoms were noted. No difference was observed between pre- and postoperative filling cystometrogram and pressure flow studies. There was significant improvement in the postoperative QoL assessment. CONCLUSIONS: TOT (outside-in) appears to have no deleterious effect on storage and voiding functions.
INTRODUCTION AND HYPOTHESIS: this study aims to evaluate the functional outcome of transobturator tape (TOT) in treatment of female stress urinary incontinence (SUI) and its impact on patient quality of life (QoL). METHODS: sixty female patients with SUI underwent TOT operation, outside-in technique. Forty-eight patients completed the study. Clinical evaluation, urodynamics, and QoL using validated Arabic translation of the International Consultation on Incontinence Questionnaire-Short Form were done both preoperatively and 3, 6, and 12 months postoperatively. RESULTS: the mean follow-up was 16 months. The objective cure rate was 95.83%. There were no cases of urethral injury, bladder perforation, or thigh pain. De novo urgency and urge incontinence was observed in four patients (8.3%). No early or late outflow obstructive symptoms were noted. No difference was observed between pre- and postoperative filling cystometrogram and pressure flow studies. There was significant improvement in the postoperative QoL assessment. CONCLUSIONS: TOT (outside-in) appears to have no deleterious effect on storage and voiding functions.
Authors: Werner Schäfer; Paul Abrams; Limin Liao; Anders Mattiasson; Francesco Pesce; Anders Spangberg; Arthur M Sterling; Norman R Zinner; Philip van Kerrebroeck Journal: Neurourol Urodyn Date: 2002 Impact factor: 2.696
Authors: Giacomo Novara; Walter Artibani; Matthew D Barber; Christopher R Chapple; Elisabetta Costantini; Vincenzo Ficarra; Paul Hilton; Carl G Nilsson; David Waltregny Journal: Eur Urol Date: 2010-04-23 Impact factor: 20.096
Authors: Jerry G Blaivas; Rajveer S Purohit; Matthew S Benedon; Gabriel Mekel; Michael Stern; Mubashir Billah; Kola Olugbade; Robert Bendavid; Vladimir Iakovlev Journal: Nat Rev Urol Date: 2015-08-18 Impact factor: 14.432